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      Associations between cardiorespiratory fitness and lifestyle‐related factors with DNA methylation‐based ageing clocks in older men: WASEDA'S Health Study

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          Abstract

          DNA methylation‐based age estimators (DNAm ageing clocks) are currently one of the most promising biomarkers for predicting biological age. However, the relationships between cardiorespiratory fitness (CRF), measured directly by expiratory gas analysis, and DNAm ageing clocks are largely unknown. We investigated the relationships between CRF and the age‐adjusted value from the residuals of the regression of DNAm ageing clock to chronological age (DNAmAgeAcceleration: DNAmAgeAccel) and attempted to determine the relative contribution of CRF to DNAmAgeAccel in the presence of other lifestyle factors. DNA samples from 144 Japanese men aged 65–72 years were used to appraise first‐ (i.e., DNAmHorvath and DNAmHannum) and second‐ (i.e., DNAmPhenoAge, DNAmGrimAge, and DNAmFitAge) generation DNAm ageing clocks. Various surveys and measurements were conducted, including physical fitness, body composition, blood biochemical parameters, nutrient intake, smoking, alcohol consumption, disease status, sleep status, and chronotype. Both oxygen uptake at ventilatory threshold (VO 2/kg at VT) and peak oxygen uptake (VO 2/kg at Peak) showed a significant negative correlation with GrimAgeAccel, even after adjustments for chronological age and smoking and drinking status. Notably, VO 2/kg at VT and VO 2/kg at Peak above the reference value were also associated with delayed GrimAgeAccel. Multiple regression analysis showed that calf circumference, serum triglyceride, carbohydrate intake, and smoking status, rather than CRF, contributed more to GrimAgeAccel and FitAgeAccel. In conclusion, although the contribution of CRF to GrimAgeAccel and FitAgeAccel is relatively low compared to lifestyle‐related factors such as smoking, the results suggest that the maintenance of CRF is associated with delayed biological ageing in older men.

          Abstract

          The contribution of cardiorespiratory fitness (CRF) to GrimAgeAcceleration and FitAgeAcceleration are relatively low compared to lifestyle‐related factors such as serum triglyceride, daily intake of carbohydrate, smoking, and calf circumference. There is a negative correlation between CRF and GrimAgeAcceleration, even after adjusting for chronological age, smoking, and alcohol consumption, and maintenance of CRF above reference values is negatively correlated with delayed GrimAgeAcceleration.

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          Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment

          Clinical and research interest in sarcopenia has burgeoned internationally, Asia included. The Asian Working Group for Sarcopenia (AWGS) 2014 consensus defined sarcopenia as "age-related loss of muscle mass, plus low muscle strength, and/or low physical performance" and specified cutoffs for each diagnostic component; research in Asia consequently flourished, prompting this update. AWGS 2019 retains the previous definition of sarcopenia but revises the diagnostic algorithm, protocols, and some criteria: low muscle strength is defined as handgrip strength <28 kg for men and <18 kg for women; criteria for low physical performance are 6-m walk <1.0 m/s, Short Physical Performance Battery score ≤9, or 5-time chair stand test ≥12 seconds. AWGS 2019 retains the original cutoffs for height-adjusted muscle mass: dual-energy X-ray absorptiometry, <7.0 kg/m2 in men and <5.4 kg/m2 in women; and bioimpedance, <7.0 kg/m2 in men and <5.7 kg/m2 in women. In addition, the AWGS 2019 update proposes separate algorithms for community vs hospital settings, which both begin by screening either calf circumference (<34 cm in men, <33 cm in women), SARC-F (≥4), or SARC-CalF (≥11), to facilitate earlier identification of people at risk for sarcopenia. Although skeletal muscle strength and mass are both still considered fundamental to a definitive clinical diagnosis, AWGS 2019 also introduces "possible sarcopenia," defined by either low muscle strength or low physical performance only, specifically for use in primary health care or community-based health promotion, to enable earlier lifestyle interventions. Although defining sarcopenia by body mass index-adjusted muscle mass instead of height-adjusted muscle mass may predict adverse outcomes better, more evidence is needed before changing current recommendations. Lifestyle interventions, especially exercise and nutritional supplementation, prevail as mainstays of treatment. Further research is needed to investigate potential long-term benefits of lifestyle interventions, nutritional supplements, or pharmacotherapy for sarcopenia in Asians.
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            DNA methylation age of human tissues and cell types

            Background It is not yet known whether DNA methylation levels can be used to accurately predict age across a broad spectrum of human tissues and cell types, nor whether the resulting age prediction is a biologically meaningful measure. Results I developed a multi-tissue predictor of age that allows one to estimate the DNA methylation age of most tissues and cell types. The predictor, which is freely available, was developed using 8,000 samples from 82 Illumina DNA methylation array datasets, encompassing 51 healthy tissues and cell types. I found that DNA methylation age has the following properties: first, it is close to zero for embryonic and induced pluripotent stem cells; second, it correlates with cell passage number; third, it gives rise to a highly heritable measure of age acceleration; and, fourth, it is applicable to chimpanzee tissues. Analysis of 6,000 cancer samples from 32 datasets showed that all of the considered 20 cancer types exhibit significant age acceleration, with an average of 36 years. Low age-acceleration of cancer tissue is associated with a high number of somatic mutations and TP53 mutations, while mutations in steroid receptors greatly accelerate DNA methylation age in breast cancer. Finally, I characterize the 353 CpG sites that together form an aging clock in terms of chromatin states and tissue variance. Conclusions I propose that DNA methylation age measures the cumulative effect of an epigenetic maintenance system. This novel epigenetic clock can be used to address a host of questions in developmental biology, cancer and aging research.
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              An epigenetic biomarker of aging for lifespan and healthspan

              Identifying reliable biomarkers of aging is a major goal in geroscience. While the first generation of epigenetic biomarkers of aging were developed using chronological age as a surrogate for biological age, we hypothesized that incorporation of composite clinical measures of phenotypic age that capture differences in lifespan and healthspan may identify novel CpGs and facilitate the development of a more powerful epigenetic biomarker of aging. Using an innovative two-step process, we develop a new epigenetic biomarker of aging, DNAm PhenoAge, that strongly outperforms previous measures in regards to predictions for a variety of aging outcomes, including all-cause mortality, cancers, healthspan, physical functioning, and Alzheimer's disease. While this biomarker was developed using data from whole blood, it correlates strongly with age in every tissue and cell tested. Based on an in-depth transcriptional analysis in sorted cells, we find that increased epigenetic, relative to chronological age, is associated with increased activation of pro-inflammatory and interferon pathways, and decreased activation of transcriptional/translational machinery, DNA damage response, and mitochondrial signatures. Overall, this single epigenetic biomarker of aging is able to capture risks for an array of diverse outcomes across multiple tissues and cells, and provide insight into important pathways in aging.
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                Author and article information

                Contributors
                kawamura.takuji@tf.hu
                Journal
                Aging Cell
                Aging Cell
                10.1111/(ISSN)1474-9726
                ACEL
                Aging Cell
                John Wiley and Sons Inc. (Hoboken )
                1474-9718
                1474-9726
                16 August 2023
                January 2024
                : 23
                : 1 , Healthy aging: linking causal mechanisms with holistic outcomes ( doiID: 10.1111/acel.v23.1 )
                : e13960
                Affiliations
                [ 1 ] Waseda Institute for Sport Sciences, Waseda University Saitama Japan
                [ 2 ] Research Centre for Molecular Exercise Science Hungarian University of Sports Science Budapest Hungary
                [ 3 ] Faculty of Sport Sciences Waseda University Saitama Japan
                [ 4 ] Sportology Centre Juntendo University Graduate School of Medicine Tokyo Japan
                [ 5 ] Graduate School of Sport Sciences Waseda University Saitama Japan
                [ 6 ] Physical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare Tokyo Japan
                [ 7 ] Department of Food and Nutrition Tokyo Kasei University Tokyo Japan
                [ 8 ] Faculty of Health and Sport Sciences University of Tsukuba Ibaraki Japan
                [ 9 ] Faculty of Sport Science Surugadai University Saitama Japan
                [ 10 ] Department of Biostatistics, Fielding School of Public Health University of California Los Angeles Los Angeles California USA
                [ 11 ] Department of Human Genetics, David Geffen School of Medicine University of California Los Angeles Los Angeles California USA
                Author notes
                [*] [* ] Correspondence

                Takuji Kawamura, Research Centre for Molecular Exercise Science, Hungarian University of Sports Science B3 building, Floor 1, Alkotás Street 44, Budapest 1123, Hungary.

                Email: kawamura.takuji@ 123456tf.hu

                Author information
                https://orcid.org/0000-0003-2110-8718
                https://orcid.org/0000-0002-9771-1823
                https://orcid.org/0000-0002-4110-3589
                Article
                ACEL13960 ACE-23-0266.R1
                10.1111/acel.13960
                10776125
                37584423
                9529ceab-28e2-4515-a856-7d0930476444
                © 2023 The Authors. Aging Cell published by Anatomical Society and John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 31 July 2023
                : 14 April 2023
                : 02 August 2023
                Page count
                Figures: 6, Tables: 2, Pages: 18, Words: 11778
                Funding
                Funded by: Japan Society for the Promotion of Science , doi 10.13039/501100001691;
                Award ID: Grant‐in‐Aid for Early‐Career Scientists/20K19520
                Funded by: Waseda University , doi 10.13039/501100004423;
                Award ID: Grant for Special Research Projects (2020‐410)
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                January 2024
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.3.6 mode:remove_FC converted:09.01.2024

                Cell biology
                body composition,chronotype,drinking,elderly japanese men,epigenetic clock,micronutrients,peak oxygen uptake,smoking

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